Adoption APPLICATION FORM Name * First Name Last Name Email Address * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Municipality/Council Please tell us how long you owned your previous dog and what happened to it? Are there any circumstances where you might not be willing to adopt a dog? If you are not enquiring about a particular dog, please give sex and age of dog you would be interested in adopting? Why do you want to adopt a dog? Have you ever taken an animal to a shelter or released it to another party? Would you be willing to allow a representative to make a home visit at a mutually agreed time? Do you own your home? If you are renting, please provide us with your landlords written verification that a dog is permitted: Please provide us with an emergency contact Name * First Name Last Name Email * Emergency mobile number * (###) ### #### Home number * Address (if different from above) * Address 1 Address 2 City State/Province Zip/Postal Code Country Do you currently have a vet? If so please provide their name and phone number so we can contact them for a reference, together with one personal referee. If you do not have a vet please provide two personal references. We reserve the right the contact these referees should the application proceed Vet name Vet phone number (###) ### #### Vet email Referee 1 full name Referee 1 phone number (###) ### #### Referee 1 email address Referee 2 full name Referee 1 phone number (###) ### #### Referee 2 email address Is there anyone else you would like to tell us about you, your family or your interest in adopting a bull terrier? Your home Number of people of the premises Ages if under 25 Will your new dog have regular contact with children 5 years or under or elderly people? Do you currently have any pets? If you have a dog(s) are they Registered * Yes No Desexed * Yes No C5 vaccinated * Yes No Microchipped * Yes No Insured * Yes No Where do your pets sleep? Where will the new dog sleep? Which areas of the house will your new Bull Terrier have access to, eg backyard and laundry/kitchen/non carpeted/other areas? Do you have a doggie door? Are there any areas which are off limits? Is your yard securely fenced? Do you have a swimming pool? if so is it fenced? If no one is at home, where will your new dog stay? Inside or outside? If the dog is outside, what type of shelter will the dog have? How many hours will the new dog be without human company for each day? How many dogs are you allowed by your council? Breed, knowledge and experience Bull terriers are a strong, powerful breed and can be dominating. They require their master to be of a calm and assertive demeanour and to have patience, while rules, boundaries are routines are being established. How will your new Bull Terrier be introduced to your family members? What specific steps will you take to integrate them? How will your new Bull Terrier be introduced to your existing pets? what specific steps will you take to integrate them? Please tell us what breeds of dog you have previously owned. Have you ever owned a Bull Terrier? Please tell us what research you have untaken to find out more about the Bull Terrier breed. Please tell us how often you will have time to walk your new dog? how long for? on lead or off lead? There is usually an adjustment period, until a new dog settles in, how do you plan to make your new dog feel at ease and how will you cope with the possible complications that may arise? Under what circumstances would you give up your new dog? I have read and understood the foster terms and conditions * Yes Thank you! TERMS AND CONDITIONS
